重度阴道前壁脱垂与顶端脱垂高度相关。

Advanced anterior vaginal wall prolapse is highly correlated with apical prolapse.

作者信息

Rooney Kristin, Kenton Kimberly, Mueller Elizabeth R, FitzGerald Mary Pat, Brubaker Linda

机构信息

Department of Obstetrics and Gynecology & Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL, USA.

出版信息

Am J Obstet Gynecol. 2006 Dec;195(6):1837-40. doi: 10.1016/j.ajog.2006.06.065.

DOI:10.1016/j.ajog.2006.06.065

PMID:17132485

Abstract

OBJECTIVE

The purpose of this study was to determine the relationship between the most prolapsed portion of the anterior and posterior vaginal walls and the apex.

STUDY DESIGN

After obtaining institutional review board approval, demographic data and pelvic organ prolapse quantification findings from consecutive new patients who were seen at our urogynecologic practice between January 2004 and February 2005 were reviewed.

RESULTS

Three hundred twenty-five women were included in this cohort. The support of the vaginal apex (pelvic organ prolapse quantification point C) correlated strongly with the most prolapsed portion of the anterior vaginal wall, Ba (Spearman's rho = 0.835; P < .001) and correlated moderately with the most prolapsed portion of the posterior vaginal wall, Bp (Spearman's rho = 0.556; P < .001). A strong linear relationship was found between C and Ba, which is best modeled by the following regression equation: C = Ba(1.4) - 4.4 (r = .869).

CONCLUSION

Anterior vaginal wall prolapse is associated strongly with apical prolapse. Anterior vaginal wall defects that are surgically repaired usually require a concomitant repair of the apex.

摘要

目的

本研究旨在确定阴道前壁和后壁最脱垂部位与顶端之间的关系。

研究设计

在获得机构审查委员会批准后，回顾了2004年1月至2005年2月期间在我们的泌尿妇科诊所就诊的连续新患者的人口统计学数据和盆腔器官脱垂量化结果。

结果

该队列纳入了325名女性。阴道顶端的支撑（盆腔器官脱垂量化点C）与阴道前壁最脱垂部位Ba密切相关（斯皮尔曼等级相关系数ρ=0.835；P<.001），与阴道后壁最脱垂部位Bp中度相关（斯皮尔曼等级相关系数ρ=0.556；P<.001）。在C和Ba之间发现了很强的线性关系，以下回归方程能最好地模拟这种关系：C = Ba(1.4) - 4.4（r =.869）。